EFFICACY OF TEMPORARY FIXED RETENTION FOLLOWING ...
EFFICACY OF TEMPORARY FIXED RETENTION FOLLOWING ... EFFICACY OF TEMPORARY FIXED RETENTION FOLLOWING ...
Total chin, which is mostly a soft tissue measurement but does include a portion of the bony chin, also was significant (P = 0.01). Total chin was greater at pretreatment (Figure 4-6) in the fixed group, although there was barely a millimeter difference between the two groups (14.74 and 13.67 mm). It is not likely that these differences at the pretreatment examination governed the orthodontist’s decision concerning whether to use fixed retention at the end of treatment, but they do suggest that some occlusal conditions may influence the decision. It also is likely (Table A-1) that these differences evaluated at the start of treatment carried through to affect the posttreatment status—and that this latter condition controlled the decision about kind of retention. More of the variables (7 denoted with an asterisk) were significantly different at the end of treatment (Table A-2). This in and of itself might indicate that orthodontists were attuned to which cases warranted fixed retention. Of note, incisor depth and overjet, which were significant at the pretreatment examination, persisted as significant predictor variables at the end of treatment. Incisor depth and overjet had been reduced in both groups during treatment, yet remained significantly greater in the fixed group at the end of treatment. Total chin also continued to be statistically significant between groups at the end of treatment (P = 0.02). The fixed retention group maintained a greater average value of 16.4 mm versus 15.4 mm in the removable group. Incisor irregularity, which intuitively can be regarded as a proximate reason for using a fixed appliance, was greater in those receiving a fixed appliance (Figure 4-7), though the difference between the means seems small (0.5 mm and 0.2 mm). Even though the mean difference was small, this difference is statistically significant. Those receiving a fixed retainer were more likely to exhibit greater Incisor Irregularity at the end of treatment. Overbite also was significantly larger in the fixed group at the posttreatment examination. Table A-2 lists the Curve of Spee and reveals that the average curve is small in both groups (Figure 4-8), but the value is actually almost twice as great in the fixed group (0.8 mm) as in the removable group (0.4 mm). While the mean difference between the two groups is trivial (~ 0.31 mm), the distributions show that cases with deeper curves are more likely to be fitted with a fixed retainer. Molar correction also occurs on this list (Figure 4-9). The key point is that the median for the removable group is appreciably closer to zero (closer to a Class I relationship) than the median of the fixed group, meaning that cases in 85
21 19 Total Chin (mm) 17 15 13 11 9 7 Fixed Retention Remove Figure 4-6. Box plot of “total chin” at the pretreatment examination based on type of retention. This dimension is significantly greater in the sample that would receive a fixed retainer at the end of treatment. 86
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21<br />
19<br />
Total Chin (mm)<br />
17<br />
15<br />
13<br />
11<br />
9<br />
7<br />
Fixed<br />
Retention<br />
Remove<br />
Figure 4-6. Box plot of “total chin” at the pretreatment examination based on<br />
type of retention.<br />
This dimension is significantly greater in the sample that would receive a fixed<br />
retainer at the end of treatment.<br />
86